Nursing Investigation Results -

Pennsylvania Department of Health
Patient Care Inspection Results

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Severity Designations

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Minimal Citation - No Harm Minimal Harm Actual Harm Serious Harm
Inspection Results For:

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MANORCARE HEALTH SERVICES-BETHLEHEM 2029 - Inspection Results Scope of Citation
Number of Residents Affected
By Deficient Practice
Initial comments:

Findings of an Abbreviated survey in response to three complaints completed on March 7, 2019, at Manorcare Health Services-Bethlehem 2029 revealed that the facilitity had a deficiency that has the potential for minimal harm to residents as related to the requirements of 42 CFR Part 483, Subpart B, Requirements for Long Term Care Facilities and the 28 PA Code, Commonwealth of Pennsylvania Long Term Care Licensure Regulations.

 Plan of Correction:

483.60(d)(1)(2) REQUIREMENT Nutritive Value/Appear, Palatable/Prefer Temp:Least serious deficiency but affects more than a limited number of residents, staff, or occurrences. This deficiency has the potential for causing no more than a minor negative impact on the resident but is not found to be throughout this facility.
483.60(d) Food and drink
Each resident receives and the facility provides-

483.60(d)(1) Food prepared by methods that conserve nutritive value, flavor, and appearance;

483.60(d)(2) Food and drink that is palatable, attractive, and at a safe and appetizing temperature.

Based on review of food committee meeting minutes and observations, it was determined that the facility failed to ensure that residents were served breakfast at an acceptable temperature on one of four floors (third floor).

Findings include:

Review of the daily food temperature log revealed that the hot entrees were to be served at 145-165 degrees Fahrenheit. The cold beverages at 40 degrees Farenheit or below.

Review of the Dining Council Minutes for January 24, 2019 and February 21, 2019, revealed that residents had voiced concern that food is not always warm.

Observation of breakfast on the third floor revealed that the food cart arrived on the unit at 7:42 a.m., and the last tray was served at 7:58 a.m.

Temperatures of the food were as follows: eggs 115.2 degrees Fahrenheit, hot cereal was 125.5 degrees Fahrenheit, juice 50.6 degrees Fahrenheit, and milk 50.8 degrees Fahrenheit. In an interview the Dietary Manager stated that the temperatures were unacceptable.

28 Pa. Code 201.29(j) Resident rights.

 Plan of Correction - To be completed: 04/09/2019

1. and 2. Test meals will be audited three times weekly for breakfast meals in alternate location including resident room and dining rooms utilizing the Test Tray QAPI tool.

3. Food service and nursing staff will be in-serviced on providing food at palatable temperatures. Food temperatures will be reviewed with the residents monthly at Residents' Food Committee.

4. Food Service Manager and/or designee will analyze results of test trays and implement corrective action as needed and trends will be reported to QAPI Committee for further action planning as needed.

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